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  4. Click Websites.
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  1. Go to Settings.
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Jobs or company...

Guiding Care Configuration Analyst/Lead

Salary undisclosed

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Dice
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Simplified

Guiding Care Configuration Analyst/Lead
Location: Remote
Duration: 9-12 Month
Implementing Client: Infosys JD:

Config SME for Utilization Management, Care Management/Including Gaps In Care/Care Pathways, Appeals & Grievances, Correspondence/Letters, Population Health/Risk Scores, Alerts/Activities/Rules, Health Risk Assessments

Essential Functions:

Produce gap analysis on rules/alerts/scripts/configuration, and recommend best practice solutions for Care Management, Utilization Management, and Grievance and Appeals

Guiding Care (GC) hierarchy

Configurations and Workflows for Functional Areas supported by Guiding Care

Utilization Management , Care Management / Including Gaps In Care / Care Pathways, Appeals & Grievances, Fax Optimization, Provider module review

Correspondence/Letters, Population Health / Risk Scores, Alerts/Activities/Rules, Health Risk Assessments

Recognize inconsistencies and gaps in guiding care tree structure

Through research and analysis, identify systems, possible letters/ reports in ,

Perform root cause analysis

Five (5) years of experience working with Guiding Care or other similar enterprise systems is preferred

Five (5) years of experience with the healthcare environment (Medicaid/Medicare) is preferred

Competencies, Knowledge, and Skills:

Ability to establish effective working relationships with stakeholders at all different levels

Understanding of project lifecycles coupled with the software development lifecycle, including processes, techniques, continuous delivery, tools agile, test-driven development, and waterfall

Thorough understanding of business analysis principles

Effective problem-solving skills with attention to detail

Ability to develop, prioritize and accomplish goals

Strong interpersonal skills including excellent written and verbal communication skills; listening and critical thinking

Ability to effectively prioritize and execute tasks while working both independently and in a team-oriented, collaborative environment

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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